| St Johns Smile Care | |
|
71 Doctors Village Dr Ste 303 Saint Johns FL 32259-2406 | |
| (904) 417-7400 | |
| (904) 602-9995 |
| Full Name | St Johns Smile Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 71 Doctors Village Dr Ste 303, Saint Johns, Florida |
| Authorized Official Name and Position | Andrew Allen Dacunha (PRESIDENT) |
| Authorized Official Contact | 9044177400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Johns Smile Care 71 Doctors Village Dr Ste 303 Saint Johns FL 32259-2406 Ph: (904) 417-7400 | St Johns Smile Care 71 Doctors Village Dr Ste 303 Saint Johns FL 32259-2406 Ph: (904) 417-7400 |
| NPI Number | 1831731009 |
|---|---|
| Provider Enumeration Date | 10/09/2019 |
| Last Update Date | 03/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831731009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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